Share Expertise Research Articles

Facilitator Reflections on Shared Expertise and Adaptive Leadership in ECHO Autism: Center Engagement

Project Extension for Community Healthcare Outcomes (ECHO) is used to increase provider capacity in a wide range of health care specialties. ECHO Autism: Center Engagement is a program that promotes improvement in autism care by improving the management of autism care centers. The program's focus brought experienced clinicians together as both facilitators and participants in an ECHO series. ECHO Autism: Center Engagement facilitators devised a reflective writing exercise to prospectively study their experience leading this new curriculum. Drawing on a qualitative thematic analysis of longitudinal reflective writing exercises from seven "Hub Team" facilitators, we describe how ECHO leaders cultivate a learning environment that emphasizes shared learning and acknowledges the expertise of ECHO participants. The analysis generated three main themes: (1) Hub Team facilitators valued reciprocal exchange with Spoke sites, a theme we name "shared learning," (2) Hub Team facilitators demonstrated high levels of awareness about their facilitation styles, and (3) Hub Team facilitators cultivated an interactional style they described as "all teach, all learn." Examining the experiences of ECHO facilitators produces qualitative accounts of continuing professional development that may not be captured in other program evaluation approaches. In the case of ECHO Autism: Center Engagement, facilitators cultivated an environment of shared learning, which acknowledged the expertise of both facilitators and participants. These findings are pertinent for scholars of continuing education in health professions who lead educational programs where participants and facilitators have high levels of overlap in their areas of expertise and years of experience.

Clinical Pharmacy in Psychiatry: Towards Promoting Clinical Expertise in Psychopharmacology

Although clinical pharmacy is a discipline that emerged in the 1960s, the question of precisely how pharmacists can play a role in therapeutic optimization remains unanswered. In the field of mental health, psychiatric pharmacists are increasingly involved in medication reconciliation and therapeutic patient education (or psychoeducation) to improve medication management and enhance medication adherence, respectively. However, psychiatric pharmacists must now assume a growing role in team-based models of care and engage in shared expertise in psychopharmacology in order to truly invest in therapeutic optimization of psychotropics. The increased skills in psychopharmacology and expertise in psychotherapeutic drug monitoring can contribute to future strengthening of the partnership between psychiatrists and psychiatric pharmacists. We propose a narrative review of the literature in order to show the relevance of a clinical pharmacist specializing in psychiatry. With this in mind, herein we will address: (i) briefly, the areas considered the basis of the deployment of clinical pharmacy in mental health, with medication reconciliation, therapeutic education of the patient, as well as the growing involvement of clinical pharmacists in the multidisciplinary reflection on pharmacotherapeutic decisions; (ii) in more depth, we present data concerning the use of therapeutic drug monitoring and shared expertise in psychopharmacology between psychiatric pharmacists and psychiatrists. These last two points are currently in full development in France through the deployment of Resource and Expertise Centers in PsychoPharmacology (CREPP in French).

Holding Tight to Our Convictions and Lightly to Our Ways: Inviting Shared Expertise as a Strategy for Expanding Inclusion, Reach, and Impact

When the global pandemic forced campuses across the United States to send students home in March 2020, instructors were thrown into triage mode, forced to rapidly transition their on-the-ground classroom curriculum to a format that could be completed remotely by students spread out across the country. At the same time, centers for teaching and learning (CTLs) also entered triage mode, puzzling over how to quickly but effectively provide appropriate training and meaningful support to prepare faculty for this rapid transition (Aebersold et al., 2020). The situation's urgency, coupled with the significant constraints many CTL directors already experienced, necessitated creative, flexible, and, in some cases, unorthodox approaches to faculty development. This article describes the creation, implementation, and takeaways from our CTL's response to this immense challenge. We retrospectively reflect upon how our center-of-one at a small private liberal arts college with no history of online education was able to build and take a 4-week experimental online training course for 13 faculty members and scale it up so that, by the end of 3 months, 105 participants, or over 80% of our institution's full-time faculty, had completed a course in online teaching. In doing so, we identify four impactful practices that made our experience possible and that have potential future value, especially for small or under-resourced centers.

Mentor teachers’ and student teachers’ perspectives toward teacher leadership

ABSTRACT The current study adopted the Teacher Leadership Inventory (TLI) to understand the perceptions of mentor teachers and student teachers towards teacher leadership, and identify the variables which affected these perspectives. A one-way ANOVA was used to determine whether there were any statistically significant differences between their perceptions on the four factors of the TLI, as well as several demographic variables. Findings revealed that mentor teachers had significantly higher scores than student teachers on two factors; Shared Expertise and Shared Leadership. Further, the demographic variables of years of experience, nationality, and gender affected the mentor teachers’ perceptions towards the three factors of Shared Leadership, Supra-Practitioner and Principal Selection respectively. While years of experience affected the student teachers’ perspectives towards the Principal Selection factor. Therefore, these differences should be taken into consideration by teacher education institutions, mentor teachers, and school principals, specifically during the student teachers’ practicum experiences.

A Call for an Evidence-informed Criteria Selection to Guide Equitable Health Investments in the Era of Universal Health Care: Policy Analysis

Background. The passage of the Universal Health Care (UHC) Act in the Philippines in early 2019 intensified the need to ensure equitable health investments by the government. Exploring the different criteria and indicators that are used to determine areas that are most in need of health services can help local and national health authorities determine priorities for health investments given finite resources.
 Methods. A systematic review of literature on determinants of health equity and other indicators was conducted as pre-work to generate discussion points to the roundtable discussion participated by all major key stakeholders. Shared insights and expertise were thematically analyzed to produce a policy paper with consensus policy recommendations.
 Results. Based on the review of the literature and the discussion, indicators (mainly physical inaccessibility and socio-economic factors) for identifying Geographically Isolated and Disadvantaged Areas (GIDA) in DOH Administrative Order 185, s. 2004 is used to prioritize municipalities for health investments. Review of other policies and guidelines to determine the level of health needs and prioritizing investments yielded to four laddered domains: geographic, population characteristics (e.g., social and cultural determinants of access), health system (e.g., health service delivery), and health status. These domains may provide a more equitable set of metrics for health investment. The Local Investment Plan for Health (LIPH) is the current process used for health-related investments at the local level and may be revised to be more responsive to the requirements set by the UHC Act 2018. Hot spotting to concentrate health services by communities may be a more rapid approach to investment planning for health. Bed capacity as a specific metric in the UHC Act 2018 highlights the need for a review of the Hospital Licensure Act 2004.
 Conclusion and Recommendations. To aid in determining priorities for health investments, a comprehensive integrated analysis of resources, determinants, and indicators should be done to determine the need and the gaps in the available resources. Innovative strategies can also be best implemented such as mathematical models or formulas. Lastly, current strategies in the development, monitoring, and evaluation of investment planning for health at different levels should be strengthened, expanded, and harmonized with other existing development plans.

The Mining and Technology Industries as Catalysts for Sustainable Energy Development

The potential for mining companies to contribute to sustainable energy development is characterized in terms of opportunities for energy efficiency and support of electricity access in mining-intensive developing countries. Through a case study of the Central African Copperbelt countries of Zambia and the Democratic Republic of Congo, energy efficiency opportunities in copper operations and environmental impact of metal extraction are evaluated qualitatively, characterized, and quantified using principles of industrial ecology, life cycle assessment, and engineering economics. In these countries the mining sector is the greatest consumer of electricity, accounting for about 53.6% in the region. Energy efficiency improvements in the refinery processes is shown to have a factor of two improvement potential. Further, four strategies are identified by which the mining and technology industries can enhance sustainable electricity generation capacity: energy efficiency; use of solar and other renewable resources; share expertise from the mining and technology industries within the region; and take advantage of the abundant cobalt and other raw materials to initiate value-added manufacturing.

“The Networking and Shared Knowledge and Expertise of the Members is an Invaluable Resource.”

Plastics EngineeringVolume 76, Issue 10 p. 4-5 SPME “The Networking and Shared Knowledge and Expertise of the Members is an Invaluable Resource.” First published: 10 December 2020 https://doi.org/10.1002/peng.20403Read the full textAboutPDF ToolsExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume76, Issue10November/December 2020Pages 4-5 RelatedInformation

Experimental and population-genetic evidence for inflammation control functions of long noncoding RNAs and a novel tRNA-like transcript arising from the human NEAT1-MALAT1 genomic region

Abstract Background Uncontrolled inflammation is a key driver of atherosclerosis, myocardial infarction (MI), and multiple other diseases. Beyond proteins and microRNAs, long noncoding RNAs (lncRNAs) are implicated in inflammation control. We previously reported suppression of lncRNA NEAT1 in circulating immune cells of post-MI patients. In mice lacking lncRNAs NEAT1 or MALAT1 we observed major immune disturbances affecting monocyte-macrophage and T cell differentiation and rendering the immune system unstable and highly vulnerable to immune stress. Here, we report functions of a novel tRNA-type transcript arising from the NEAT1-MALAT1 gene cluster, and on genetic heterogeneity of this region in the human population. Methods and results While previously investigated mice were deficient in the entire NEAT1 or MALAT1 locus, we here aimed to selectively disrupted only the novel 59-nt tRNA-like transcript “menRNA” with hitherto unknown functions. Through CRISPR/Cas9 editing we developed 4 human THP-1 monocyte-macrophage cell line clones with deletions of different extension all of which prevented, however, normal transcript folding and formation of “menRNA”. Transcriptome mapping of all clones by RNA-sequencing identified dysregulation of innate immunity-related genes (IFI16, IFITM3, IRAK3, IRF2BP2, IRF3), chemokine and interleukin receptors (CCR10, IL11RA, IL12RB2, IL23A), cell surface receptors (CD37, CD40LG, CD72, FOCAD, ITGA6, MAEA, THY1), macrophage function-associated genes (ELANE, GRN, MIF, MMP25, MST1P2, PRTN3), tRNA-processing transcripts (GARS, QRSL1P3, QTRT1P1, THG1L, VARS), and small nucleolar RNAs (SNORA26.62.64, SNORD65.112). These data and functional assays indicate functions of NEAT1-derived “menRNA” distinct from those previously described for MALAT1-derived mascRNA. As multiple data suggest inflammation control functions of the NEAT1-MALAT1 region, we investigated the extent of genetic variability of this region in humans. In cohorts from the SHIP study coordinated by the Institute for Community Medicine Greifswald, screening of this region for sequence variants and possible phenotype associations was conducted the results of which are given in Figure 1. Consistent with prior findings, a MALAT1 SNP with very low minor allele frequency (MAF=0.01) was associated (p=0.0062) with systemic low level inflammation (CRP >3.0 mg/L). Unexpected was the association (p<0.01) of eight SNPs (low MAF=0.09 for all) with BMI >35 kg/m2 and LDL >164 mg/dl. Conclusions First, selective disruption of menRNA formation in human monocyte-macrophages provides evidence that this novel type of noncoding RNA has immunoregulatory functions. Second, the phenotype associations of SNPs within the NEAT1-MALAT1 gene cluster warrant further in-depth investigation of the molecular basis of these associations, and of their allele frequencies in cardiovascular disease patient cohorts. The first three and the last authors contributed equally to this work. Figure 1 Funding Acknowledgement Type of funding source: Other. Main funding source(s): “Transcriptome analysis of circulating immune cells to improve the assessment of prognosis and the response to novel anti-inflammatory treatments after myocardial infarction”; DZHK Shared Expertise project B19-006_SE FKZ 81X2100257

Application of an Evaluation Framework for Extra-Organizational Communities of Practice: Assessment and Refinement

Abstract: Communities of practice (CoPs) are groups of people who work together on an ongoing basis and share knowledge and expertise. CoPs exist both within and outside of organizations, although extra-organizational CoPs have received less evaluation attention. The primary objective of this study was to assess the applicability of a multi-level, multiple-value evaluation framework for extra-organizational CoPs. Qualitative interviews were conducted with an extra-organizational CoP—the Canadian Community of Practice in Ecosystems Approaches to Health (CoPEH-Canada). The evaluation framework oriented both the member interview guide and the deductive content analysis. The findings showed that the evaluation framework was sufficiently comprehensive to capture the values generated. Following reflection on these findings, challenges in its application and suggested revisions to the framework are provided; also discussed are limitations and strengths, evaluation research next steps, and the opportunities for future applications.

From mathematical model towards educational simulation game of hemodynamics of cardiovascular system

Recently we have created a new open‐source technology called BodyLight.js which combines the current standard for web‐based applications including Web‐Assembly for fast computation of mathematical models, web components for building independent transferable objects, and WebGL for involving 3D graphic [1, 2].We have published methodology and implementation of several models of the cardiovascular system [3].We have been creating graphical components in 2D and recently in 3D which can be used as animations in simulation application.There are numerous steps involved when going from an idea to a finished project. In this contribution we describe the workflow going from concept to mathematical model and computer graphics to an educational simulation application. This workflow is presented by building a simulation game of hemodynamics of the cardiovascular system.Each step of the workflow can be executed by different domain expert. Physiologist designs concept, mathematician writes and implements mathematical models and executable model simulation programs, graphical designer produces graphical objects based on design concepts which can be animated in simulation programs, and software engineer maintains the system. However, all these professionals need to be able to understand each other and work together.Physiologists must be able to grasp the physiological significance and to tell mathematician how to formalize the problem. Mathematicians and software engineers need to understand physiology in order to produce plausible and verifiable model simulation application. Computer graphics designers must be skilled in programming as they need to produce animated objects that can be used in simulation applications. This connection of expertise is crucial, and was already proposed e.g. by N. Wiener in his works about Cybernetics [4].We demonstrate that such creative connection of individuals with combined and shared expertise can produce high quality educational materials.Support or Funding InformationMPO TRIO FV20628, MPO TRIO FV30195Collaborative workflow designing simulator of pressure‐volume loop cycle of hemodynamics model using Bodylight.js software tools.Figure 1

How the Committee on Minority Affairs is catalyzing change

In 1993, the American Chemical Society organized and charged the Committee on Minority Affairs (CMA) to develop and oversee the society’s long-range plans and programs to ensure, promote, and recognize the participation and accomplishments of minorities. CMA has taken this charge and developed a mission statement that aligns with that of ACS: advancing a broader, inclusive, and equitable chemistry enterprise by empowering underrepresented groups, stakeholders, and marginalized peoples for the benefit of the world. We have developed three major goals to help us achieve this mission: (1) increase diversity awareness by providing professional development and recognition opportunities to underrepresented groups within the chemical sciences; (2) strengthen ACS programming to reflect a broader, more inclusive, and equitable chemistry enterprise; and (3) enhance shared expertise in diversity, equity, and inclusion content and act as a resource to societal stakeholders. These goals are ambitious and require partn...

Interdisciplinary Education: The Advanced Science Research Center.

Interdisciplinary Education: The Advanced Science Research Center.

Coopetition strategies of start-ups: evidence from a Spanish regional innovation system

Start-ups operate in a highly competitive environment. In this context, collaboration between competitors has been found to help companies reduce risk and share costs, resources and expertise. Despite its relevance, coopetition (i.e., the simultaneous pursuit of cooperation and competition) in entrepreneurship has attracted little scholarly attention. This study aims at filling this theoretical and empirical gap by exploring the impact of coopetition on the performance of start-ups. Drawing on the existing literature, this study also considers innovation and knowledge sharing as key factors shaping business performance. The analysis is based on Qualitative Comparative Analysis (QCA) because the focus is on the combined effect of the determinants of firm performance rather than their net effects. This approach enables us to identify different start-up strategies. The results indicate that coopetition and innovation are key factors. However, knowledge sharing is only relevant when coopeting start-ups either have solid market experience or are highly innovative.

Help communities solve real-world problems with AI

Join other AI professionals as a mentor in Technovation's AI program for families. Share your expertise with adults and children who are curious about artificial intelligence and how it can be used to address real issues in their communities. Help people all around the world learn to not only use AI, but to create solutions with AI that improve their lives and their communities.

DEMENTIA WITHOUT BORDERS: BUILDING COMMUNITY CONNECTIONS TO REDUCE STIGMA AND FOSTER INCLUSION

BACKGROUND: The concept of social citizenship is gaining traction in the field of dementia studies, but as a practical tool to guide development of supports and services, it remains poorly understood. A one year project to promote collaboration between University of Washington in Seattle and University of British Columbia in Vancouver addressed this very question. Activities were undertaken so these communities could know each other better, with researchers, service providers and people with dementia connecting to share knowledge and expertise. PURPOSE: The project culminated with a public festival to put into practice and share some of what was learned over the year. METHODS: People with dementia and care partners helped plan “Dementia Without Borders”, held at an international park straddling the border between Seattle and Vancouver. 150 people came from the US and Canada, including many people with dementia, family members and friends. The day began with a community walk and gift exchange, followed by a meal and creative activities including poetry readings, music, an art exhibit, and quilt making. RESULTS: Evaluation was overwhelmingly positive with people expressing a sense of hope and belonging. For some, it was their first time to speak openly about having dementia, and meeting others in this space was a joy-filled experience. CONCLUSIONS: This project has leveraged the symbolic power of an international border to raise awareness of the importance of social connection for people with dementia. We further explore how the notion of “dementia without borders” extends theoretical and practical understanding of social citizenship.

A relationship-based approach to improving clinical trials: The imCORE research network experience

The rapid evolution of cancer immunotherapies has increased demand for timely introduction of new therapies and subsequently increased the demand on leading cancer research institutions worldwide. As a leader in cancer therapy research, Roche created the immunotherapy Centers of Research Excellence (imCORE) Network, a worldwide research network designed to more closely connect members in an open environment of shared information, expertise, and decisions. This network is dedicated to increasing the understanding of the underlying science in order to prioritize and accelerate the most promising new treatment options for patients. The network consists of two key pillars, Roche-sponsored clinical trials operational excellence and the imCORE network scientific collaborations. This paper focuses on the Roche-sponsored trial clinical operational excellence aspects of the network. This special contribution introduces the rationale, design, and success factors of sponsored trials within the imCORE Network, including critical components and examples of tangible improvements to clinical trial operations between the company sponsor and the trial sites. Pivotal success factors have included relationship architecture and management, transparent communication channels, open information-sharing, and the development of new processes and tools to overcome historical inefficiencies and challenges of all sizes. The shared dedication of stakeholders to cancer therapy innovation, operational improvement of clinical trials, and a durable, sustainable worldwide research collaborative has made this component of imCORE effective to date. The authors share this experience with the broader research community for the first time, in the same spirit of collective advancement of care for patients with cancer.

SAT-027 ESTABLISHING REGISTRIES FOR KIDNEY HEALTH ADVOCACY – RESULTS FROM THE SharE-RR SURVEY

The ISN advocates integrated worldwide renal care. Registries play a vital role defining disease burden, monitoring treatment and outcomes, but vary in coverage and structure. Expanding coverage is crucial for planning and monitoring effective preventative, renal-replacement and supportive care services. This study describes the scope and technical aspects of international renal registries. The ISN established ‘Sharing Expertise to support the set-up of Renal Registries’ (SharE-RR) to support countries developing a registry (www.theisn.org/advocacy/share-rr). Surveys were developed to collect geographical and modality coverage as well models of data collection, technical, governance and funding information from national and international registries (SurveyMonkey, English language). Piloting and iterative development was undertaken with 6 registries in 3 continents. In 2018 the survey was emailed to 126 contacts provided by the African, Australian and New Zealand, ERA-EDTA, Latin American and United States (USRDS) renal registries. Surveys were administered in batches with reminders sent to non-responders. Respondents were asked to forward the survey to other registries covering renal replacement therapy in their country. National/regional results•Of 91 completed surveys (72% response) 85 registries in 78 countries responded•Of these•73 (86%) had national coverage•12 (14%) covered a region only Adult•84 (99%) registries covered adults receiving haemodialysis (HD)•78 (92%) peritoneal dialysis (PD)•63 (74%) kidney transplant (Tx)•60 (71%) registries covered all three modalities, 5 (6%) covered just one Children•64 (75%) covered children receiving HD•56 (66%) PD•51 (60%) Tx Chronic/acute kidney disease•19 (22%) covered chronic kidney disease•8 (9%) acute kidney injury Data•44 (52%) registries used web-forms to assimilate data•31 (36%) paper-based•24 (28%) email•19 (22%) direct extraction from clinical systems•14 (16%) a secured data line•4 (5%) billing data•39 (46%) used a mixture Economy•46 (54%) responses were from high-income economies, 25 (29%) from upper-middle and 13 (15%) from lower-middle economies. Burundi was the sole low-income country•51% of the world’s high-income countries, 46% of higher-middle, 28% of lower-middle and 5% of low-income countries reported a registry Funding•45 registries (53%) declared funding direct from government (61% of high-income, 48% of upper middle-income, 38% of lower middle-income and 0% of low-income responders)•Overall, 39 (46%) registries reported government as the main funding source•Professional bodies/societies were the main funder for 18 (21%) registries and provided funding to 26 (31%) registries•7 registries (8%) reported no funding This survey highlights international inequality in the ability to monitor access to, quality and outcomes of renal care. The most comprehensive registries are in higher-income nations and are more likely to receive government support. Scarce evidence of registry activity was reported by low-income countries. Collection of data relating to the background general population (denominator) is rare, precluding estimation of true disease burden. Paediatric coverage is less complete, though the survey may not have reached all registries. The SharE-RR project aims to make progress in these vital areas.

Language Policy and Practice in Almost-Bilingual Classrooms

ABSTRACTThis study explores language policies in “almost-bilingual” classrooms, in which most but not all students share a home language. Teachers who are bilingual face a dilemma in these settings. Should they draw on shared linguistic expertise to benefit the majority while excluding a few, or should they forego significant benefits for most in the interest of equity? This qualitative study examines the classroom language policies and practices of one English-as-a second-language (ESL) teacher at a majority-Latino high school. Drawing on field notes, interviews, and systematic teacher reflection, the authors identify a collection of multilingual practices across ESL and sheltered content courses: translated texts, “translanguaging from the students up,” and concurrent translation. They discuss the benefits and drawbacks of these policies for Spanish speakers and “singletons”—students with no same-language peers—to offer pedagogical and policy insights for meeting the diverse and sometimes-conflicting needs of students in multilingual classrooms.

Jumping off the Cliff and Learning to Fly on the Way Down: Shared Expertise, Shared Input, and Shared Responsibility as the Building Blocks of a Volunteer Writing Mentor Program

Jumping off the Cliff and Learning to Fly on the Way Down: Shared Expertise, Shared Input, and Shared Responsibility as the Building Blocks of a Volunteer Writing Mentor Program

A dual-process contingency model of leadership, transactive memory systems and team performance

In complex markets, use of teams is becoming more prevalent to capitalize on shared knowledge and expertise across members – often called transactive memory systems (TMS). For organizations to execute and benefit from a transactive memory approach, it is critical to improve understanding of how leadership and external environments influence translation of TMS into improved performance. Drawing on leadership, transactive memory and contingency theories we examine internal and external factors to explain team performance via TMS. Using data from 79 sales teams in a Fortune 250 industrial goods and services firm, we find that transformational leadership has a stronger relationship with TMS in smaller teams and transactional leadership has a stronger relationship with TMS in less tenured teams. Finally, our results also indicate that the strength of the relationship between TMS and team performance depends on market dynamism. Implications of these results for theory and practice are discussed.